Individual
GARY S CHUBAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21418 24TH AVE, BAYSIDE, NY 11360-2219
(718) 428-6000
(718) 423-5102
Mailing address
21418 24TH AVE, BAYSIDE, NY 11360-2219
(718) 428-6000
(718) 423-5102
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
127280
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00434331
—
NY
Enumeration date
11/09/2006
Last updated
09/14/2009
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